Sidney Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3364 Issued in OH

Legal business name

SIDNEY CHIROPRACTIC, INC.

Practice address

1640 Gleason St
Sidney, OH 45365-3561

Phone

(937) 492-4681

Fax

(937) 492-7200

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Harold R. Schubert Jr., D.C.NPI 1760596548

Title

Chiropractor

Phone

(937) 492-4681

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Schubert Jr., D.C.

  • Chiropractor
  • Sidney, OH
  • NPI 1760596548
  Medicare reassignment Care Compare group NPD Authorized official
• Madison Hussey, DC

  • Chiropractor
  • Sidney, OH
  • NPI 1568272086
  Medicare reassignment Care Compare group NPD
• Tyler Duane Vorst, D.C.

  • Chiropractor
  • Columbus Grove, OH
  • NPI 1134558406
  Medicare reassignment Care Compare group NPD
• Tieca Franklin

  • Acute Care Nurse Practitioner
  • Beavercreek, OH
  • NPI 1306515382
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992824973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 GLEASON ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653561",
            "telephone_number": "937-492-4681",
            "fax_number": "937-492-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 GLEASON ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653561",
            "telephone_number": "937-492-4681",
            "fax_number": "937-492-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUBERT",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-492-4681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000480195",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432228",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "SI9356751",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Sherwood, LPCC
• Danell Ann Shirey, PTA
• Carolyn Shiveley
• Erica Kate Short
• Melissa Deann Shroyer
• Sidney City School District
• Sidney Dental Associates; Inc
• Sidney Emergency Physicians, Inc.
• Sidney Family Dental
• Sidney Medical Group Inc

• Chiropractor in Sidney, OH
• Providers in Sidney, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.